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(Circulation. 1963;27:574.)
© 1963 American Heart Association, Inc.

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A Surgical Approach to Ebstein's Disease

L. P. SCOTT III (MC) USN¹; J. J. DEMPSEY (MC) USN¹; H. H. TIMMIS (MC) USN¹; J. E. MCCLENATHAN (MC) USN¹

¹ From the Departments of Cardiology and Thoracic Surgery, U. S. Naval Hospital, National Naval Medical Center, Bethesda, Maryland.

Ebstein's disease in a severely cyanotic 7-year-old boy was successfully treated by anastomosing the superior vena cava to the right pulmonary artery.

A discussion of impaired right heart function in Ebstein's disease is presented emphasizing the inefficiency of right atrial contraction as a consequence of the "atrialization" of the right ventricle.

It is our belief that right heart bypass with a superior vena cava to right pulmonary artery anastomosis is the surgical procedure of choice in patients severely ill from Ebstein's disease.